| NPI | 1972042240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLINDA L CANNADY Licensed Professional Counselor 404-821-6197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 008632) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-02-19 |
| Last Update Date | 2017-02-19 |